{"id":612,"date":"2021-01-15T13:47:11","date_gmt":"2021-01-15T13:47:11","guid":{"rendered":"https:\/\/novo2.drandremansano.com.br\/?p=612"},"modified":"2021-01-15T13:47:11","modified_gmt":"2021-01-15T13:47:11","slug":"cefaleia-e-menopausa","status":"publish","type":"post","link":"https:\/\/drandremansano.com.br\/index.php\/2021\/01\/15\/cefaleia-e-menopausa\/","title":{"rendered":"Cefaleia e menopausa"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"612\" class=\"elementor elementor-612\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-69d73a7 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"69d73a7\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-13597f4\" data-id=\"13597f4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-92c591d elementor-widget elementor-widget-image\" data-id=\"92c591d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"490\" height=\"490\" src=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/icone-dor-de-cabeca.png\" class=\"attachment-large size-large wp-image-1713\" alt=\"\" srcset=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/icone-dor-de-cabeca.png 490w, https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/icone-dor-de-cabeca-300x300.png 300w, https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/01\/icone-dor-de-cabeca-150x150.png 150w\" sizes=\"(max-width: 490px) 100vw, 490px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a08c2a4\" data-id=\"a08c2a4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d9cbedd elementor-widget elementor-widget-heading\" data-id=\"d9cbedd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cefaleia e menopausa<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6965ea57 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"6965ea57\" data-element_type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2d8130b7\" data-id=\"2d8130b7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b39f200 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"b39f200\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cfaa421 elementor-widget elementor-widget-heading\" data-id=\"cfaa421\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cefaleia e menopausa<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc72a71 elementor-widget elementor-widget-text-editor\" data-id=\"dc72a71\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><!-- wp:heading --><\/p>\n<p><span style=\"font-size: 16px;\">A menopausa \u00e9 diagnosticada ap\u00f3s 1 ano sem ciclos menstruais, o que usualmente ocorre entre os 40 e 60 anos (em m\u00e9dia aos 51 anos).\u00a0 A transi\u00e7\u00e3o para a menopausa \u00e9 acompanhada de flutua\u00e7\u00f5es hormonais e ciclos menstruais irregulares. Essas flutua\u00e7\u00f5es hormonais, em especial as de estrog\u00eanio, podem ser importantes gatilhos para dores de cabe\u00e7a, em especial a enxaqueca.\u00a0<\/span><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>Estima-se que 10 a 30% das mulheres em menopausa sofram com enxaqueca. Alguns fatores aumentam as chances da enxaqueca ap\u00f3s a menopausa. S\u00e3o eles:<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<ul>\n<li>Idade (quanto mais cedo a mulher entrar na menopausa maiores s\u00e3o as chances de ter enxaqueca)<!-- \/wp:paragraph --><!-- wp:paragraph --><\/li>\n<li>Uso de terapia de reposi\u00e7\u00e3o hormonal<!-- \/wp:paragraph --><!-- wp:paragraph --><\/li>\n<li>Menopausa causada por cirurgia (ex. retirada dos ov\u00e1rios)<\/li>\n<\/ul>\n<p><!-- \/wp:paragraph --><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f9977d8 elementor-widget elementor-widget-toggle\" data-id=\"f9977d8\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2611\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2611\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">AS DORES DE CABE\u00c7A MELHORAM AP\u00d3S A MENOPAUSA?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2611\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2611\"><p>\u00c9 comum ouvirmos que as dores de cabe\u00e7a, em especial a enxaqueca, melhoram com a menopausa. Isso n\u00e3o \u00e9 totalmente verdade. H\u00e1 alguns estudos que avaliaram esse fator e mostram que parte das pacientes t\u00eam melhora das dores, algumas t\u00eam inclusive piora das dores e algumas mantem-se com as mesmas dores de antes. Quando comparamos a cefaleia tensional com a enxaqueca, percebemos que a enxaqueca tem mais chance de melhorar ap\u00f3s a menopausa do que a cefaleia tensional (Figura 1).<\/p>\n<p>\u00a0<\/p>\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/02\/image1-5.jpg\" \/><\/figure>\n<p>\u00a0<\/p>\n<p>H\u00e1 diferen\u00e7as inclusive se a menopausa for natural ou induzida (ex. retirada dos ov\u00e1rios ou causada por medicamentos). Nos casos de menopausa induzida as chances de piora da enxaqueca s\u00e3o maiores (Figura 2).<\/p>\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/drandremansano.com.br\/wp-content\/uploads\/2021\/02\/image1-5.jpg\" \/><\/figure><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2612\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2612\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">O EFEITO DA TERAPIA DE REPOSI\u00c7\u00c3O HORMONAL NAS DORES DE CABE\u00c7A<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2612\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2612\"><p>A indica\u00e7\u00e3o e a condu\u00e7\u00e3o da terapia de reposi\u00e7\u00e3o hormonal na paciente em menopausa devem, preferencialmente, ser realizada por um ginecologista especializado.<\/p>\n<p>Os estudos mostram que o uso te terapia de reposi\u00e7\u00e3o hormonal est\u00e1 associado a um aumento na ocorr\u00eancia de enxaqueca, em especial com as medica\u00e7\u00f5es via oral. A reposi\u00e7\u00e3o com adesivos tem menor efeito na enxaqueca.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2613\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2613\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">TRATAMENTO<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2613\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2613\"><p>O tratamento da dor de cabe\u00e7a na paciente em menopausa depender\u00e1 fundamentalmente do tipo de cefaleia em quest\u00e3o. A enxaqueca, a cefaleia tensional e a cefaleia em salvas apresentam tratamentos espec\u00edficos (leia mais nos links de cada dor de cabe\u00e7a\u201d.<\/p>\n<p class=\"referencia\">REFER\u00caNCIAS BIBLIOGR\u00c1FICAS<sup>123456<br><\/sup>1. Karl\u0131, N.&nbsp;<em>et al.<\/em>&nbsp;Impact of sex hormonal changes on tension-type headache and migraine: a cross-sectional population-based survey in 2,600 women.&nbsp;<em>J. Headache Pain<\/em>&nbsp;<strong>13<\/strong>, 557\u2013565 (2012).<br>2. Sader, E. &amp; Rayhill, M. Headache in Pregnancy, the Puerperium, and menopause. <em>Semin. Neurol.<\/em>&nbsp;<strong>38<\/strong>, 627\u2013633 (2018).<br>3. Lauritsen, C. G., Chua, A. L. &amp; Nahas, S. J. Current Treatment Options: Headache Related to Menopause\u2014Diagnosis and Management. <em>Current Treatment Options in Neurology<\/em>&nbsp;<strong>20<\/strong>, (2018).<br>4. MacGregor, E. A. Headache and hormone replacement therapy in the postmenopausal woman. <em>Curr. Treat. Options Neurol.<\/em>&nbsp;<strong>11<\/strong>, 10\u20137 (2009).<br>5. Migraine in menopausal women: a systematic review. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4548761\/. (Accessed: 21st April 2020)<br>6. Neri, I. <em>et al.<\/em>&nbsp;Characteristics of headache at menopause: A clinico-epidemiologic study.&nbsp;<em>Maturitas<\/em>&nbsp;<strong>17<\/strong>, 31\u201337 (1993).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Cefaleia e menopausa Cefaleia e menopausa A menopausa \u00e9 diagnosticada ap\u00f3s 1 ano sem ciclos menstruais, o que usualmente ocorre entre os 40 e 60 anos (em m\u00e9dia aos 51 anos).\u00a0 A transi\u00e7\u00e3o para a menopausa \u00e9 acompanhada de flutua\u00e7\u00f5es hormonais e ciclos menstruais irregulares. Essas flutua\u00e7\u00f5es hormonais, em especial as de estrog\u00eanio, podem ser importantes gatilhos para dores de cabe\u00e7a, em especial a enxaqueca.\u00a0 Estima-se que 10 a 30% das mulheres em menopausa sofram com enxaqueca. Alguns fatores aumentam as chances da enxaqueca ap\u00f3s a menopausa. S\u00e3o eles: Idade (quanto mais cedo a mulher entrar na menopausa maiores s\u00e3o as chances de ter enxaqueca) Uso de terapia de reposi\u00e7\u00e3o hormonal Menopausa causada por cirurgia (ex. retirada dos ov\u00e1rios) AS DORES DE CABE\u00c7A MELHORAM AP\u00d3S A MENOPAUSA? \u00c9 comum ouvirmos que as dores de cabe\u00e7a, em especial a enxaqueca, melhoram com a menopausa. Isso n\u00e3o \u00e9 totalmente verdade. H\u00e1 alguns estudos que avaliaram esse fator e mostram que parte das pacientes t\u00eam melhora das dores, algumas t\u00eam inclusive piora das dores e algumas mantem-se com as mesmas dores de antes. Quando comparamos a cefaleia tensional com a enxaqueca, percebemos que a enxaqueca tem mais chance de melhorar ap\u00f3s a menopausa do que a cefaleia tensional (Figura 1). \u00a0 \u00a0 H\u00e1 diferen\u00e7as inclusive se a menopausa for natural ou induzida (ex. retirada dos ov\u00e1rios ou causada por medicamentos). Nos casos de menopausa induzida as chances de piora da enxaqueca s\u00e3o maiores (Figura 2). O EFEITO DA TERAPIA DE REPOSI\u00c7\u00c3O HORMONAL NAS DORES DE CABE\u00c7A A indica\u00e7\u00e3o e a condu\u00e7\u00e3o da terapia de reposi\u00e7\u00e3o hormonal na paciente em menopausa devem, preferencialmente, ser realizada por um ginecologista especializado. Os estudos mostram que o uso te terapia de reposi\u00e7\u00e3o hormonal est\u00e1 associado a um aumento na ocorr\u00eancia de enxaqueca, em especial com as medica\u00e7\u00f5es via oral. A reposi\u00e7\u00e3o com adesivos tem menor efeito na enxaqueca. TRATAMENTO O tratamento da dor de cabe\u00e7a na paciente em menopausa depender\u00e1 fundamentalmente do tipo de cefaleia em quest\u00e3o. A enxaqueca, a cefaleia tensional e a cefaleia em salvas apresentam tratamentos espec\u00edficos (leia mais nos links de cada dor de cabe\u00e7a\u201d. REFER\u00caNCIAS BIBLIOGR\u00c1FICAS1234561. Karl\u0131, N.&nbsp;et al.&nbsp;Impact of sex hormonal changes on tension-type headache and migraine: a cross-sectional population-based survey in 2,600 women.&nbsp;J. Headache Pain&nbsp;13, 557\u2013565 (2012).2. Sader, E. &amp; Rayhill, M. Headache in Pregnancy, the Puerperium, and menopause. Semin. Neurol.&nbsp;38, 627\u2013633 (2018).3. Lauritsen, C. G., Chua, A. L. &amp; Nahas, S. J. Current Treatment Options: Headache Related to Menopause\u2014Diagnosis and Management. Current Treatment Options in Neurology&nbsp;20, (2018).4. MacGregor, E. A. Headache and hormone replacement therapy in the postmenopausal woman. Curr. Treat. Options Neurol.&nbsp;11, 10\u20137 (2009).5. Migraine in menopausal women: a systematic review. Available at: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4548761\/. (Accessed: 21st April 2020)6. Neri, I. et al.&nbsp;Characteristics of headache at menopause: A clinico-epidemiologic study.&nbsp;Maturitas&nbsp;17, 31\u201337 (1993).<\/p>\n","protected":false},"author":1,"featured_media":775,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[4],"tags":[],"class_list":["post-612","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dores-de-cabeca"],"_links":{"self":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/posts\/612"}],"collection":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/comments?post=612"}],"version-history":[{"count":0,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/posts\/612\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/media\/775"}],"wp:attachment":[{"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/media?parent=612"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/categories?post=612"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drandremansano.com.br\/index.php\/wp-json\/wp\/v2\/tags?post=612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}